Multiple Mini‐Interview (MMI) Practice Test

How would you adapt communication for a patient who speaks limited English and relies on a family member as translator?

Use a professional interpreter, avoid relying on family as translator, check understanding with teach-back, use plain language, be culturally sensitive, and document. Rely on a family member as translator and skip teach-back. Use an ad hoc translator from staff. Use a professional interpreter, check understanding with teach-back, use plain language, be culturally sensitive, and document.

Correct Answer:

Use a professional interpreter, avoid relying on family as translator, check understanding with teach-back, use plain language, be culturally sensitive, and document.

Explanation:

When communicating with a patient who speaks limited English, you prioritize accuracy, privacy, and understanding. A professional interpreter provides accurate translation of medical information, protects confidentiality, and avoids the biases or omissions that can happen when relying on a family member. Pairing that with a teach-back check ensures the patient truly understands the diagnosis, the plan, and the instructions. Using plain language reduces confusion, and being culturally sensitive helps build trust and respect the patient’s values. Documenting that interpreter services were used and that understanding was verified shows you safeguarded safety and continuity of care. Relying on a family member or an ad hoc staff translator, or skipping a comprehension check, can lead to miscommunication and safety risks. This combination—professional interpretation, teach-back, plain language, cultural sensitivity, and documentation—is the best approach.

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